NPI | 1760108187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL 11016485) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11016485) |
Enumeration Date | 2022-10-17 |
Last Update Date | 2023-04-26 |